Provider Demographics
NPI:1831172097
Name:PCH SERVICES INC
Entity type:Organization
Organization Name:PCH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-633-5866
Mailing Address - Street 1:1521 REDDINGTON LN
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-2455
Mailing Address - Country:US
Mailing Address - Phone:770-633-5866
Mailing Address - Fax:678-831-0509
Practice Address - Street 1:1521 REDDINGTON LN
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2455
Practice Address - Country:US
Practice Address - Phone:770-633-5866
Practice Address - Fax:678-831-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty